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Patient Data

MRCP

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Axial T2

The biliary tree remains non-dilated. There is no evidence of choledocholithiasis. The cystic duct remnant unremarkable. Soft tissue of the same signal intensity and enhancement behavior of the pancreatic parenchyma is demonstrated to encircle the duodenum.

The main pancreatic duct is non-dilated. There is no focal pancreatic lesion identified. There is no peripancreatic inflammation or fluid collection. There is a sizeable duodenal diverticulum near the ampulla.

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Topogram 0.6 T20f

CT IVC

Biliscopin excretion has occurred. The biliary tree is of normal caliber. CBD is 7mm. Prior cholecystectomy. No evidence of choledocholithiasis. A duodenal diverticulum near ampulla is noted, measuring 2.4 cm in craniocaudal dimension. Posterior to the diverticulum is smooth deformity of the distal CBD which becomes slit like.

There is some inflammation around the distal duodenum and interior body of pancreas, as well as mild thickening of the left Gertoa's fascia, compatible with pancreatitis. Small right pleural effusion.